River Lake Clinic Llc in Minneapolis - Low Vision Rehabilitation

River Lake Clinic Llc - NPI 1902932965

River Lake Clinic Llc is a Low Vision Rehabilitation in Minneapolis, Minnesota. River Lake Clinic Llc practices all healthcare services and medical treatments related to Low Vision Rehabilitation. The NPI Number for River Lake Clinic Llc is 1902932965. The last update date is 2014-01-30.

River Lake Clinic Llc's current location address is 4323 E Lake St, Minneapolis, Minnesota. You can contact this provider via phone number 6127221003 and fax number 6127216336. The mailing address for River Lake Clinic Llc is 4323 E Lake St, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization River Lake Clinic Llc
Address 4323 E Lake St, Minneapolis, Minnesota
Phone Number 6127221003
Fax Number 6127216336
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Hanen-Smith E. Michel
Credentials O. D., M.
Telephone Number 6127221003

NPI Number Detail

NPI Number 1902932965
Provider Enumeration Date 2007-02-26
Last Updated Date 2014-01-30

Provider Mailing Address Detail

Address 4323 E Lake St
City Minneapolis
State Minnesota (MN)
Post Code 554062307
Phone Number 6127221003
Fax Number 6127216336

Provider's Primary Taxonomy Detail

Speciality Low Vision Rehabilitation
Taxonomy 152Wl0500X
Licence No 3331
Definition:
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

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FAQs about River Lake Clinic Llc

What is the unique 10-digit identifier code assigned to River Lake Clinic Llc by the Centers for Medicare & Medicaid Services?

The River Lake Clinic Llc has been issued the NPI (National Provider Identifier) 1902932965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where River Lake Clinic Llc is located?

The River Lake Clinic Llc is situated at the following address: 4323 E Lake St, Minneapolis, MN, 554062307.

What is River Lake Clinic Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for River Lake Clinic Llc is Low Vision Rehabilitation, and the corresponding taxonomy classification code for this specialized field is 152Wl0500X.

On what date did the River Lake Clinic Llc receive the assignment of its 1902932965 from the Centers for Medicare & Medicaid Services?

The River Lake Clinic Llc was issued its 1902932965 by the Centers for Medicare & Medicaid Services on 2007-02-26.

When was the information regarding River Lake Clinic Llc most recently updated?

The details pertaining to the River Lake Clinic Llc, including its address, specialty, and other relevant information, were last refreshed on 2014-01-30.

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